An Operative Case of Papillary Fibroelastoma of the Non-Coronary Cusp of the Aortic Valve

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  • Arimoto Munehito
    Department of Cardiovascular Surgery, Nihon University, School of Medicine, Tokyo, Japan
  • Unosawa Satoshi
    Department of Cardiovascular Surgery, Nihon University, School of Medicine, Tokyo, Japan
  • Osaka Shunji
    Department of Cardiovascular Surgery, Nihon University, School of Medicine, Tokyo, Japan
  • Hayashi Yuki
    Department of Cardiovascular Surgery, Nihon University, School of Medicine, Tokyo, Japan
  • Kitazumi Yoshiki
    Department of Cardiovascular Surgery, Nihon University, School of Medicine, Tokyo, Japan
  • Tanaka Masashi
    Department of Cardiovascular Surgery, Nihon University, School of Medicine, Tokyo, Japan

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Other Title
  • 大動脈弁無冠尖に発症した乳頭状弾性線維腫の 1 手術例
  • 症例報告 大動脈弁無冠尖に発症した乳頭状弾性線維腫の1手術例
  • ショウレイ ホウコク ダイドウミャクベン ムカン セン ニ ハッショウ シタ ニュウトウジョウ ダンセイ センイ シュ ノ 1 シュジュツレイ

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An asymptomatic 72-year-old woman was referred by an orthopedist because of a mass on the aortic valve that was found during pre-operative examination of lumbar spinal canal stenosis. Transthoracic echocardiogram showed a 9 * 7 mm mobile mass attached to the non-coronary cusp of the aortic valve and no aortic regurgitation. In view of the potential risk of embolism of either the mass or the associated thrombus, elective surgical removal was performed. The patient made an uneventful recovery. Histological examination revealed the benign tumor and led to the diagnosis of papillary fibroelastoma. Primary cardiac tumor is rare and we report a case of cardiac papillary fibroelastoma with a review of the pertinent literature.

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